Patient Authorization & Access Specialist

Stanford Medicine Children's Health; Menlo Park (CA); On-site; USD 47,000 - 59,000; Full time

Job summary

Stanford Medicine Children's Health in Menlo Park is seeking an Authorization Coordinator to manage day-to-day financial clearance of scheduled services. Reporting to the Authorization Manager, you will serve as a resource on complex referral and authorization issues and deliver high-quality customer service in line with hospital policies.

You will partner with providers and staff to obtain referrals, track authorization status, and resolve payer questions, ensuring timely approvals while

Qualifications

• Education: High school diploma or GED is required.
• Experience: Two years of directly-related experience.
• Knowledge of medical terminology and payer patterns.

Responsibilities

• Act as a patient and family advocate between providers and payers to obtain referrals and authorizations.
• Collaborates with providers and staff to promote successful referrals and authorizations.
• Tracks patient accounts on authorization status, follow-up, and payer issues.
• Processes and follows up on authorizations that have denials or require further justification.
• Investigates, resolves and documents insurance issues in a timely manner.
• Coordinates with contracting to obtain letters of agreements for patients with non-LPCH coverage.

Skills

Communication skills

Analytical thinking

Written communication

Customer service

Education

High school diploma or GED

Two years of directly-related experience

Job description

Stanford Medicine Children's Health in Menlo Park is seeking an Authorization Coordinator to manage day-to-day financial clearance of scheduled services. Reporting to the Authorization Manager, you will serve as a resource on complex referral and authorization issues and deliver high-quality customer service in line with hospital policies.

You will partner with providers and staff to obtain referrals, track authorization status, and resolve payer questions, ensuring timely approvals while